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Related Experiment Videos

Alternate day esotropia.

H S Metz, A Jampolsky

    Journal of Pediatric Ophthalmology and Strabismus
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Cyclic esotropia in a child resolved after bimedial recession surgery. This suggests underlying strabismus with intermittent remission, offering a new treatment approach for this condition.

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    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology
    • Strabismus Surgery

    Background:

    • Cyclic esotropia is a rare form of strabismus characterized by a predictable 48-hour cycle of deviation.
    • This case presents a unique instance of secondary cyclic esotropia developing years after initial strabismus surgery.

    Observation:

    • A six-year-old girl developed intermittent esotropia with features typical of cyclic esotropia, including hypermetropia, amblyopia, and a high AC/C ratio.
    • Standard treatments like miotics were ineffective, and neurological assessments were normal.
    • Saccadic velocity studies ruled out lateral rectus palsy.

    Findings:

    • Bimedial recession surgery successfully corrected the esotropia and abolished the cyclic pattern.
    • The patient remained orthotropic with no recurrence over a two-and-a-half-year follow-up period.

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    Implications:

    • Surgical intervention, specifically bimedial recession, can be an effective treatment for secondary cyclic esotropia.
    • The findings support the hypothesis that some patients with cyclic esotropia have a fundamental strabismic condition with superimposed intermittent deviations.